Active NPI
Brent H Lewis, OT
- Occupational Therapist
- Wexford, PA
National Provider Identifier
1760508675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009378
- Practice address
- 5500 Brooktree Rd
Suite 102
Wexford, PA 15090-9260 - Phone
- (724) 940-3468
- NPI assigned
- Mar 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC009378 | PA | Primary |
Addresses
Primary practice location
5500 Brooktree Rd
Suite 102
Wexford, PA 15090-9260
Mailing address
RR 3 Box 401
Altoona, PA 16601-9221
Phone (814) 931-3154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC009378 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760508675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 3 BOX 401",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166019221",
"telephone_number": "814-931-3154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 BROOKTREE RD",
"address_2": "SUITE 102",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909260",
"telephone_number": "724-940-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "BRENT",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.